Individual provider · Type 1 NPI

Ross Terada

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1114580792 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

3500 Camp Bowie Blvd
Fort Worth, TX 76107-2644

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114580792

Ross Terada's National Provider Identifier is 1114580792, issued on Apr 18, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on May 13, 2023.